Crowbar Application From for Organisations 1
Please note: to apply for Crowbar, you must contact Arts Tasmania prior to creating
or launching your crowdfunding campaign with Pozible in order to be issued the Arts
Tasmania code. If you create your campaign without this code and then wish to apply
for Crowbar your application will be ineligible.
Tas Gov logo 1
Instructions: fields marked with an asterisk* are compulsory.
1. Organisation’s details
Name of organisation:*
Organisation category:* (please type yes next to one of the options below)
Administration and education
Music
Community cultural development
Music theatre and opera
Dance
New media
Drama
Other performing arts
Literature and print media
Performing arts venues
Museums and art galleries
Visual arts, craft and design
Website:
Street address:*
Suburb:*
State:*
Postcode:*
State:
Postcode:
Postal address:
Suburb:
Contact person
Name:*
Position:*
E-mail:*
Phone:
Mobile:
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2. ABN and GST
Organisation’s legal status: (please type yes next to one of the options below)
Company Limited by Guarantee
Incorporated Association
Co-Operative
Government
Public Company
Other entity type (please detail):
Organisation’s ABN:
(Please type yes or no)
Have you applied for an ABN and are waiting for an allocation?
Are you registered with the Australian Tax Office for the GST?
3. Amount requested from Arts Tasmania
If you are registered for GST then list the GST exclusive price; if not list the GST inclusive price.
Please enter the amount of your crowdfunding target and Crowbar request below.
Crowdfunding target:
$
Crowbar request:
$
4. Campaign details*
Title:*
Cultural category* (please select one only from the list below):
Archives
Music theatre and opera
Art museums
New media
Community cultural development
Other arts
Dance
Other performing arts
Design
Other museums and cultural heritage
Drama
Performing arts venues
Literature and print media
Visual arts, craft and design
Music
Click here for more information relating to the available cultural categories.
Campaign start date:*
Campaign finish date:*
Project start date:*
Project finish date:*
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5. Project content
(Please type yes or no)
Does this project involve Aboriginal or Torres Strait Islander cultural content?
Does this project involve work by artists with disability or participants with disability?
If your project involves Aboriginal or Torres Strait Islander cultural content you will need to consult with a
relevant Aboriginal representative. If you are unsure about how to appropriately consult with community
please contact Arts Tasmania’s Aboriginal Arts Program Officer, Denise Robinson.
6. Confidentiality and the Right To Information Act
You should be aware that information you provide to Arts Tasmania, and details of any financial assistance
package, may be subject to requests for public disclosure under the Right to Information Act (Tas) 2009 (the
Act). Arts Tasmania has the capacity under the Act to argue that information falls within one of the
exemptions established under the Act, provided that the requirements of the exemption are clearly met.
You can assist Arts Tasmania in identifying information which may be sensitive in nature by clearly
drawing attention to such sensitivities. Any information you provide to Arts Tasmania that is
commercially sensitive should be stamped or clearly marked accordingly, and you should reinforce
this by highlighting any such classification to an Arts Tasmania program officer.
In dealing with requests for disclosure of information under the Act, we will consider your views regarding
the level of disclosure, if any, that should be allowed. Nevertheless, you should be aware that Arts Tasmania
ultimately may not have any choice but to release information under the direction of the Ombudsman in
accordance with the Act.
PERSONAL INFORMATION PROTECTION STATEMENT
The Tasmanian Government and its service providers value the privacy of every individual's personal
information. We are committed to protecting the information we collect and use by compliance with the
obligations provided under the Personal Information Protection Act (Tas) 2004. Your personal information
will be collected from you by Arts Tasmania for the purpose of undertaking the management of Crowbar.
Arts Tasmania will ensure that your personal information will not be used or disclosed to other State
institutions and authorities except if required or allowed by law. You may contact the Department of State
Growth’s Personal Information Protection Officer on 1800 030 688 should you have any questions about
the collection and use of your personal information by the department.
7. Certification
I certify that all details supplied in this application form are correct.
Type yes in box to certify*
Date:*
8. Submissions
Email: apply@arts.tas.gov.au
Applications may be lodged anytime between 1 March 2015 and 30 November 2015.
Arts Tasmania will not accept applications received after 30 November 2015.
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